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我国心死亡器官捐献中存在的问题及对策我国心死亡器官捐献中存在的问题及对策
引用本文:杨顺良,高霞,吴卫真,郭君其,谭建明.我国心死亡器官捐献中存在的问题及对策我国心死亡器官捐献中存在的问题及对策[J].中华移植杂志(电子版),2011,5(3):188-192.
作者姓名:杨顺良  高霞  吴卫真  郭君其  谭建明
作者单位:南京军区福州总医院泌尿外科全器官移植中心,福州,350025
基金项目:福建省科技创新平台计划项目
摘    要:供器官短缺是全球器官移植面临的最大问题之一。我国器官捐献率明显低于欧美等发达国家,心死亡器官捐献(DCD)是现阶段解决器官短缺的关键性措施。我国DCD工作刚开始,涉及到一系列伦理、法律、人权等社会问题。为避免出现器官买卖现象,保障器官捐献工作的有序开展,必须加强器官捐献工作的规范管理,用法律来规范器官捐献的社会行为,用行政手段建立具有中国特色的器官捐献协调系统,用严谨的科学态度制定器官分配的规则和合理的捐献救助标准,以保证DCD工作的健康、可持续发展。

关 键 词:器官捐献  心死亡器官捐献  器官移植  器官分配  法律制度  伦理  合理补偿

The existing problems and strategies in organ donation after cardiac death in China
YANG Shun-liang , GAO Xia , WU Wei-zhen , GUO Jun-qi , TAN Jian-min.The existing problems and strategies in organ donation after cardiac death in China[J].Chinese Journal of Transplanation(Electronic Version),2011,5(3):188-192.
Authors:YANG Shun-liang  GAO Xia  WU Wei-zhen  GUO Jun-qi  TAN Jian-min
Institution:YANG Shun-liang,GAO Xia,WU Wei-zhen,GUO Jun-qi,TAN Jian-min.Department of Urology,Fuzhou General Hospital,Nanjing Military Area,Organ Transplant Center,PLA,Fuzhou 350025,China
Abstract:Organ donor shortage is one of the biggest problems that global organ transplant faced.Organ donation rate in China is lagging behind Europe and other developed countries.Donation after cardiac death(DCD) is the key measure that may resolve the shortage of organ source at this stage.At the beginning of the development of DCD in China,a series of social,ethical,legal,and human rights problems have emerged.In order to avoid organ trade and to allow the orderly conduct of organ donation,the standardized management of organ donation must be strengthen.The social behavior of organ donation should be regulated by law,and the coordination system of organ donation should be built on administrative management that fits the situation in China.Rules of organ allocation must be developed with rigorous and scientific attitude,and reasonable compensation and standards of family assistance for donation should also be considered.These may ensure a healthy and sustainable development of DCD in China.
Keywords:Organ donation  Donation after cardiac death  Organ transplantation  Organ allocation  Structure of laws  Ethics  Reasonable compensation
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